Target intelligence / Profile preview

Novel tumor-specific surface antigen (TSA)

Target
TSA
Molecular classification
Other
01

Overview

The term "Novel tumor-specific surface antigen" refers to a broad category of proteins or molecules expressed exclusively on the plasma membrane of malignant cells and not on healthy tissues. These antigens are highly sought after in oncology for the development of targeted therapies, such as monoclonal antibodies, antibody-drug conjugates (ADCs), and chimeric antigen receptor (CAR) T-cell therapies, because their absolute specificity theoretically eliminates "on-target, off-tumor" toxicity. This category includes neoantigens resulting from somatic mutations, viral antigens in virus-induced cancers, and certain oncofetal antigens that are normally silenced in adult tissues but reactivated in tumors. While many specific molecules like Claudin 18.2, Glypican-3 (GPC3), and Claudin 6 are frequently described as novel tumor-specific surface antigens in current literature, the term itself is a general classification rather than a single molecular entity with a defined sequence or biological pathway.

Other names
Tumor-specific antigenTSANeoantigenTumor-specific surface proteinTumor-specific transplantation antigen (TSTA)
02

Mechanism of action

Targeted immune-mediated cytotoxicity (e.g., ADCC, CAR-T activation, or drug delivery via ADC)

03

Biological functions

Immune responseCell surface signalingOther
04

Disease associations

Cancer
05

Safety considerations

Off-target toxicity if the antigen is found to have low-level expression in normal tissuesAntigen escape or loss leading to therapeutic resistanceImmune-related adverse events (irAEs)
06

Interacting drugs

Zolbetuximab (targets CLDN18.2)

2 more in the full profile.

07

Biomarkers

Tumor mutational burden (TMB)Microsatellite instability (MSI)Specific antigen expression (e.g., CLDN18.2, GPC3, CLDN6)

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